Fredric N. Jackson MD Inc PS

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

FREDRIC N. JACKSON MD INC PS

Practice address

16259 Sylvester Rd SW
Suite 404
Burien, WA 98166-3049

Phone

(206) 241-1818

NPI assigned

Jul 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fredric N Jackson, MD

Title

Owner

Phone

(206) 241-1818

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel M. Talley, MD

  • Critical Care Medicine (Anesthesiology) Physician
  • Burien, WA
  • NPI 1679596894
  NPD (past)
• Nithya K. Iyer, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Dallas, TX
  • NPI 1912075458
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1144248014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16259 SYLVESTER RD SW STE 404",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663059",
            "telephone_number": "206-241-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16259 SYLVESTER RD SW",
            "address_2": "SUITE 404",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663049",
            "telephone_number": "206-241-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDRIC N. JACKSON MD INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "FREDRIC",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-241-1818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110046684",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7144389",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Marie Frank, CD, OB-RNC, CNM
• Jeffrey Marc Frankel, MD
• Isabella Grace Frans
• Errick W Freamon, B.S., PHARM
• Fred Meyer Stores Inc
• Eileen Bleakney Freed, MA
• Clarice Freeman
• Joshua D Freeman
• Daniel Stewart Friedman, D.D.S.
• Crystal Fritz, LMP

• Specialist in Burien, WA
• Providers in Burien, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.